The following windows in Medisoft have quick access to the eView page of the BillFlash website via a new View eStatements button. (In addition, when a patient is selected and Ctrl + F7 is clicked, the eView page will open for any statements for that patient.)
(Click the pictures to enlarge)
Patient List:
Edit Statements:
Transaction Entry (note that Calculate Totals has been moved.)
The following are changes made to Medisoft v17 to accommodate the upcoming change from the Health Insurance Portability and Accountability Act (HIPAA) American National Standards Institute (ANSI) Accredited Standards Committee (ASC) X12 version 4010A1 to ASC X12 version 5010 (referred to as ANSI 5010), as well as the National Council for Prescription Drug Programs (NCPDP) version 5.1 to NCPDP version D.0.5010. ANSI 5010 and NCPDP version D.0.5010 are new sets of standards that regulate the electronic transmission of specific healthcare transactions, including eligibility, claim status, referrals, claims and remittances. Covered entities, such as health plans, healthcare clearinghouses and healthcare providers, are required to conform to ANSI 5010 standards. These changes include new windows/tabs, restructured windows or moved fields, menu changes, new fields, additional options, and other changes.
There are three new windows or tabs.
Edit Claim window, new EDI Note tab (for Claim level notes)
The EDI Note tab has been added to the Edit Claim window. Information on this tab is pulled from the Case Window, Comment tab. This tab allows you to change various note information at the claim level so it does not affect the data in the case record itself. For more information on this tab, see the EDI Note tab.
EDI Notes and List windows (for Transaction Line Item notes)
A new EDI Notes window will allow you to enter notes of various types for electronic transmission. The corresponding List window will open when the new EDI Notes button is clicked during Transaction Entry, Patient or Guarantor Ledger, or Unprocessed Transactions.
From this window, you can create or edit EDI Notes using the EDI Note window.
Several fields have been moved, and windows have been restructured and rearranged to accommodate the moved fields.
Allergies and Notes, as well as EDI Notes, have been moved to the Comments tab of the Case window.
Condition Codes have been moved from the UB04 window, FL 4 to 41 tab to the Condition tab of the Case window to accommodate changes that allow condition codes to be used in professional claims. Condition Codes will not be copied if the user uses Copy Case.
Several changes have been made to the functionality and workflow of Revenue Management to reduce the number of times that the user must click to achieve the desired result.
Claims will be auto-checked so that the user does not need to click Check Claims. There is a new option on the Medisoft tab in Revenue Management Preferences called Auto Check Claims. Selecting this option will enable the program to auto check the claims when the user selects Process > Claims.
Several changes have been made to Revenue Management to simplify the setup and configuration process.
Simplify the setup of ERA. Assign Posting codes will be populated by default with the appropriate payment codes that reference carrier-specific codes in Medisoft. In addition, there is a set of default ERA posting defaults in the Remit Posting Code window in Revenue Management. If Use Insurance Posting Codes is checked and there are no carrier-specific codes, these new Default Posting Codes will be sent.